| NPI | 1144515180 |
|---|---|
| Former Name | DANA MICHELE TIBERIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 27589) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.123668) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2018-12-10 |